Reporting a Case with Literature Review on Enucleation of a Giant Prostatic Hyperplasia in Ghana

Abstract

Herein we report a patient with a prostatic hyperplasia weighing exactly 700 g which was successfully removed at the Brong Ahafo Regional Hospital theatre in Ghana by Pfannesteil Transvesical Simple Prostatectomy. A prostatic hyperplasia of enormous size is very uncommon and to the best of our knowledge, only ten of such cases have been previously reported. In order to tackle the risk of haemorrhage effectively, we recommend the technique of inflation of catheter balloon at the base of enucleated prostate with 6-hour traction and continuous bladder irrigation to stop bleeding in large and vascular prostates.  The case report presented here constitutes the eleventh heaviest prostate reported in medical literature and also forms the first case report of giant prostatic hyperplasia from Ghana.